Advanced Health Assessment NGR 6002C exam with 100% correct answers

Ch 15 Thorax and Lungs - Location for: Needle insertion for decompression of a tension pneumothorax 2nd intercostal space Ch 15 Thorax and Lungs - Location for: Chest tube insertion Intercostal space between the 4th and 5th ribs Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:01 / 0:15 Full screen Brainpower Read More Ch 15 Thorax and Lungs - Location for: The lower margin of a well-placed endotracheal tube on a chest x-ray Level of the 4th rib Ch 15 Thorax and Lungs - Why should needles and tubes be placed just at the superior rib margins? Neurovascular structures run along the inferior margin of each rib Ch 15 Thorax and Lungs - Where is the landmark for thoracentesis with needle insertion? Note the intercostal space between the 7th and 8th, then insertion immediately superior to the 8th rib Ch 15 Thorax and Lungs - This triangle represents a "safe position" for chest tube insertion. The "triangle of safety" is an anatomical region in the midaxillary line formed by the lateral border of the pectoralis major muscle anteriorly, lateral border of the latissimus dorsi posteriorly, and the nipple line (4th or 5th intercostal space) inferiorly. This Ch 15 Thorax and Lungs - Why is aspiration pneumonia is more common in the right middle and lower lobes? Because the right main bronchus is more vertical. For this same reason, if an endotracheal tube is advanced too far during intubation, it will more likely enter the right mainstem bronchus Ch 15 Thorax and Lungs - Accumulations of pleural fluid, or pleural effusions, may be transudates, seen in _______________, _______________, and _______________. Heart failure, cirrhosis, and nephrotic syndrome Ch 15 Thorax and Lungs - Accumulations of exudates, seen in numerous conditions including _______________, _______________, _______________, _______________, and _______________. Pneumonia, malignancy, pulmonary embolism, tuberculosis, and pancreatitis Ch 15 Thorax and Lungs - Irritation of the parietal pleura produces pleuritic pain with deep inspiration in ______________, _______________, _______________, _______________, and _______________. Viral pleurisy, pneumonia, pulmonary embolism, pericarditis, and collagen vascular diseases. Ch 15 Thorax and Lungs - The degree of dyspnea, combined with _______________ is a key component of important chronic obstructive pulmonary disease (COPD) classification systems that guide patient management. Spirometry, Ch 15 Thorax and Lungs - Which type of patients may have episodic dyspnea during both rest and exercise and also hyperventilation, or rapid shallow breathing? Anxious patients may describe difficulty taking a deep enough breath, a smothering sensation with inability to get enough air, and paresthesias, which are sensations of tingling or "pins and needles" around the lips or in the extremities. Ch 15 Thorax and Lungs - Wheezes are musical respiratory sounds that may be audible to the patient and to others. Where would you expect to hear wheezes and what might be the cause? Wheezing occurs in partial lower airway obstruction from secretions and tissue inflammation in asthma, or from a foreign body. Ch 15 Thorax and Lungs - The most common cause of acute cough is? Viral upper respiratory infections Ch 15 Thorax and Lungs - The most common cause of acute cough is viral upper respiratory infections. Also consider: Acute bronchitis, pneumonia, left-sided heart failure, asthma, foreign body, smoking, and ACE-inhibitor therapy. Ch 15 Thorax and Lungs - Causes of subacute cough may include: Postinfectious cough, pertussis, acid reflux, bacterial sinusitis, and asthma. Ch 15 Thorax and Lungs - Chronic cough is seen in: Postnasal drip, asthma, gastroesophageal reflux, chronic bronchitis, and bronchiectasis. Ch 15 Thorax and Lungs - Ask whether the cough is: dry or productive of sputum, or phlegm Ch 15 Thorax and Lungs - Mucoid sputum is: Translucent, white, or gray and seen in viral infections and cystic fibrosis Ch 15 Thorax and Lungs - Purulent sputum is: Yellow or green—often accompanies bacterial pneumonia Ch 15 Thorax and Lungs - Four descriptors to ask the patient regarding sputum are: Describe the volume of any sputum and its color, odor, and consistency. Ch 15 Thorax and Lungs - Foul-smelling sputum is present in? Anaerobic lung abscess, thick tenacious sputum in cystic fibrosis. Ch 15 Thorax and Lungs - Large volumes of purulent sputum are present in? bronchiectasis and lung abscess Ch 15 Thorax and Lungs - Diagnostically helpful symptoms include fever and productive cough in? Pneumonia Ch 15 Thorax and Lungs - Diagnostically helpful symptoms include wheezing in? Asthma Ch 15 Thorax and Lungs - Diagnostically helpful symptoms include chest pain, dyspnea, and orthopnea in? Acute coronary syndromes. Ch 15 Thorax and Lungs - Hemoptysis refers to blood coughed up from the upper or lower respiratory tract? Lower